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Eating and life style modification
- Eat small and regular meals inplace of occational large meals.
- Avoid eating within 3 hours before bedtime.
- Avoid late night meals, eat earlier in the evening.
- Avoid foods that are known to cause discomfort to individuals.
- Decrease the fatty food intake.
- Avoid bending, lifting or lying down immediately after meals.
- Sit upright rather than slumped while eating.
- Avoid chocolate.
- Limit the intake of ethanol,mint,citrus fruits and juices, Tomato products and carbonated beverages.
- Avoid clothing that is tight in the abdominal area.
- Stop smoking.
Does gerd cause anxiety and motion sickness And when we leave home do we feel urge to empty the stomach.
Diabetes is a gnawing problem that affects millions throughout the world. It is a disorder that if overlooked can lead to serious diseases; cardiovascular ailments, problems related to vision, kidney problems and many more. While medication tries to regulate your blood sugar levels, it is not always unfailing. Medication along with changes in your diet and lifestyle can still not improve your condition in certain cases. At times it is hard to increase the insulin production in a person's body even after administering medicines solely known for their efficacy. Such kind of diabetic patients can therefore benefit from a Bariatric surgery.
What is a Bariatric surgery?
Bariatric surgery doesn't refer to a single operative method. It involves a host of surgical procedures conducted on a person to rid him or her of obesity. Obesity in combination with diabetes can make a person's life miserable. The treatment of one can come in the way of curing the other. A diabetic patient who also suffers from obesity usually finds it hard to lose weight in spite of exercising or being on diet. Surgery comes to their rescue. This kind of surgery should be fallen back upon as the lender of last resort that is to say when other solutions have not helped. Bariatric surgery is always performed under skilled supervision. It might include reduction of the size of your stomach, removal of a portion of the stomach, or even gastric bypass surgery.
How does Bariatric surgery help reduce Diabetes?
Diabetes can be of three basic kinds;
Type 1 diabetes in which the body produces no amount of insulin.
Type 2 diabetes in which the body produces an insufficient amount of insulin or Gestational diabetes that pregnant women tend to contract.
Bariatric surgery proves to be very advantageous for patients of Type 2 diabetes:
1. Surgery lowers blood sugar levels considerably. Research shows people with acute diabetes made huge improvements after having undergone a Bariatric surgery. Their blood sugar levels dropped by a noticeable percentage and they felt healthier. Reduced blood sugar is an almost immediate effect in some while for others it does take some time.
2. Bariatric surgery exercises a control over cholesterol, blood pressure and triglyceride levels.
3. The impressive benefits of this operation for a Type 2 diabetes patient are not superficial or temporary. If the patient adheres to the lifestyle prescribed by a doctor, takes medication regularly and follows the basics of post- operative care he or she is likely to remain beyond the ambit of this metabolic disorder.
4. It successfully takes care of ailments resulting from diabetes.
5. Bariatric surgery can eliminate the need for medication or it can reduce the dosage of medicines you take. If you wish to discuss about any specific problem, you can consult a Bariatrician.
Menorrhagia refers to very heavy and prolonged menstrual bleeding or periods in women. The bleeding is abnormal in nature, and if this continues for a long time, a hysterectomy surgery needs to be carried out to solve the problem.
Bleeding during the night time and passage of large blood clots during menstruation are other symptoms of Menorrhagia.
The various possible causes of this kind of heavy menstrual bleeding are:
Hormonal imbalance, specifically of estrogen and progesterone is a common cause, which is more likely in adolescents and in women nearing menopause. Dysfunction in the ovaries also causes hormonal imbalance.
Non-cancerous tumors or fibroids may also be responsible for menorrhagia.
Women suffering from a miscarriage or ectopic pregnancy are likely to experience heavy menstrual bleeding.
Using blood thinners may lead to menorrhagia.
An intrauterine device used for birth control measures can cause disturbance and may lead to heavy menstruation.
A condition known as adenomyosis, where the glands in the uterus lining get embedded in the walls of the uterus, also causes menorrhagia.
Pelvic inflammatory diseases, infection in the uterus or fallopian tubes are other common causes.
Heavy bleeding may occur in patients with ovarian or cervical cancer.
Diseases of the kidney, liver or thyroid diseases may also cause menorrhagia.
Several tests and methods are carried out for the diagnosis of menorrhagia. They are:
A general physical examination.
Bleeding diary of the woman.
Blood tests to detect anemia or thyroid.
Pap Smear for the evaluation of cervical inflammation, infections or cancer
Ultrasound for evaluation of pelvic organs like uterus, ovaries and pelvis.
Hysteroscopy, where a camera is inserted into the uterus to observe the linings.
Sonohysterography, where a fluid gets instilled into the uterus along with an ultrasound test.
Certain drugs are used to treat menorrhagia. They include:
Iron supplements for treating anemia.
NSAIDS or non-steroidal anti-inflammatories for treating and reducing blood loss.
Tranexamic acid is used for reducing menstrual bleeding.
Several oral contraceptives are used for regulation of the menstrual cycle. Oral progesterone corrects hormonal imbalance and reduces bleeding.
Surgical procedures for treatment of menorrhagia include:
Hysteroscopy, dilation and curettage, where uterus lining is scraped and evaluated.
Uterine artery embolization treats menorrhagia with fibroids.
Focused ultrasound ablation enables the killing of the fibroid tissue.
Myomectomy, endometrial ablation and endometrial resection are other surgical techniques.
Hysterectomy surgery is the penultimate solution, where the uterus, cervix or ovaries are completely removed.
Menorrhagia is characterized by abnormally heavy menstrual bleeding in women. This is quite unhealthy and proper measures must be taken for curing the heavy bleeding. If you wish to discuss about any specific problem, you can consult a Gynaecologist.
A hysterectomy is a surgical procedure to remove the uterus, which is a muscular organ that carries and nourishes the baby during pregnancy. This surgery may be done to remove all or parts of the uterus; if there are any associated problems in fallopian tubes/ ovaries, they may also be removed simultaneously, during hysterectomy.
Types of hysterectomy procedures
Hysterectomy may be done through surgical cuts in the belly, known as abdominal hysterectomy or through vaginal hysterectomy where the uterus is removed through the vagina. Majority of the hysterectomies are now done with laproscope, due to the advantage of faster recovery. Which procedure is chosen will depend on why the hysterectomy is being performed along with the medical history of the patient.
Depending on the reason of the surgery, removal of the whole uterus or just parts of it may be required. The types of surgery are:
- Sub-total hysterectomy is the removal of just the uterus while keeping the cervix in place
- Total hysterectomy is the removal of the uterus and cervix
- Radical hysterectomy is the removal of the uterus, ovaries, fallopian tubes, lymph nodes, cervix and the upper part of the vagina, and is generally only advised in cases of cancer
- Oophorectomy is the removal of ovaries and it may be done with a hysterectomy
Why is it needed?
There may be many reasons to have a hysterectomy and some of them include:
These may be very uncomfortable and painful, sometimes caused by other diseases. A hysterectomy may be opted for when all other treatments have failed to treat this condition.
They are non-malignant tumors in the uterus that cause constant bleeding, anemia and pelvic pain along with bladder pressure. They may also cause very heavy periods.
It is a condition where the tissue lining the uterus also grows on the ovaries, fallopian tubes, or pelvic or abdominal organs. It causes severe abdominal pain, heavy periods and sometimes even infertility.
When the tissues and ligaments supporting the uterus become weak, the uterus may slip down from its normal position and descend into the vagina. It can result in urinary incontinence (leakage of urine), pressure in the pelvis and problems in bowel movements.
Cancer of the uterus, ovaries, fallopian tube, cervix or the lining of the uterus (endometrium)
A hysterectomy may be recommended for these types of cancers.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am GERD and Hiatus Hernia. My stomach has been paining a lot for last six months in spite of regular medication. Presently I am on Escoz D 40 and Escoz D. Please advise.
A laparoscopic cholecystectomy may sound like a very complex medical procedure. Well, that should not come as a surprise because that is pretty much what it is. In any case, however, would it not be more than a little interesting to get to know more about this complex sounding procedure?
The cholecystectomy is required when there is a need to remove the gallbladder. When it comes to the surgery itself, there are two options from which a person can choose, in consultation with the doctor. There is the traditional sort and there is the laparoscopic cholecystectomy. The traditional way of performing the surgery requires that there is a cut made along the right side of the person’s body, from which the surgeon removes the gallbladder.
When a person goes for a laparoscopic cholecystectomy, there is no need for a long cut of the body or anything of that sort! In its stead, there are a few very small incisions which are made of the abdomen of the patient and even a video camera is inserted through one of these incisions!
The use that is served by the camera is that it provides the surgeon with the view required inside the abdomen to perform the surgery without having to cut open much of the abdomen. Using the tools at his or her disposal, the surgeon can perform the same operation. Now, does that sound seem to be a lot better?
One of the great advantages about the laparoscopic cholecystectomy as compared to an open cholecystectomy is the fact that the recovery time is so much shorter! While the open surgery takes about an hour or two for the procedure itself and generally two to three whole days after it to recover, a laparoscopic cholecystectomy means that the patient can generally go home the same day, after spending about just ten hours at the hospital! That being said, in some cases, the doctors recommend that a night is spent at the hospital so that everything is stable.
Taking this into consideration, the time it takes for a person to get back to normal and do anything and everything that he or she wants is a lot less when the surgery was of the laparoscopic variety. Care needs to be taken though, but within a week to ten days, everything should be just fine.
Pain in the gallbladder, unfortunately, affects some people, but laparoscopic is the way to go! If you wish to discuss about any specific problem, you can consult a General Surgeon.
I was diagnosed with GERD 4 years back and I had redone endoscopy a month back and found mild antral gastritis with gerd, from 2 days I have nausea ,loss of appetite, bitter mouth. I was continuously eating ice candies from 1 month and yesterday I ate tamarind paste, I have pain in lower abdomen in right side ribs pain and lower right back pain ,can it be due to kidney stones or liver ,should I go for abdomen scan.
Bariatric surgery refers to the procedure by which excess fat is removed gradually within few months from an individual s body after modification in size of stomach and modification in gut pathway and length by laparoscopically (key hole surgery).
The diet that must succeed bariatric surgery changes with time. A post bariatric surgery diet will tentatively look like:
- Initial stages: At the initial stage, eating solid food should be strictly avoided. A liquid diet with added protein can is a feasible option as long as it does not have any solid particles. The doctor may also prescribe regular and intermittent consumption at the beginning.
- Intermediary stages: The diet must be changed post second till the sixth week as the meal is made thicker. However, solid food must still be expelled. Due to the surgery, it is only normal that you would feel full after small consumption thereby, necessitating regular intake of food within a short span of time.
- Final stages: Post sixth week, incorporating solid food in the diet is generally allowed by the doctors. With the introduction of fuller meals, regular intake of food should be reduced and four meals a day should be the norm.
Along with a fixed diet chart, you must also practice certain exercises to expedite the process of recovery. Some of them are:
- Light exercise: Depending on the condition, few patients may be prescribed exercises every week for an hour.
- Multiple exercises: Few, on the other hand, may be prescribed by the surgeons to exercise twice every week, generally for an hour. If you wish to discuss about any specific problem, you can consult a Bariatrician.
Obesity is a serious, chronic disease that can have a negative effect on many systems in your body. People who are overweight or obese have a much greater risk of developing serious conditions, including:
- Heart disease
- Type 2 diabetes
- Bone and joint disease
The prevalence of childhood obesity has increased dramatically over the past few decades, and obesity during adolescence is associated with significant medical morbidity during adulthood. Eating disorders and obesity are usually seen as very different problems but actually share many similarities. Eating disorders (EDs) are the third most common chronic condition in adolescents, after obesity and asthma.
In fact, eating disorders, obesity, and other weight-related disorders may overlap as girls move from one problem, such as unhealthy dieting, to another, such as obesity. Understand the links between eating disorders and obesity and promote healthy attitudes and behaviors related to weight and eating.
What is an Eating Disorder?
Eating Disorders describe illnesses that are characterized by irregular eating habits and severe distress or concern about body weight or shape. Eating disturbances may include inadequate or excessive food intake which can ultimately damage an individual’s well-being. The most common forms of eating disorders include Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder and affect both females and males.
Signs & Symptoms of an Eating Disorder:
A man or woman suffering from an eating disorder may reveal several signs and symptoms, some which are:
- Chronic dieting despite being hazardously underweight
- Constant weight fluctuations
- Obsession with calories and fat contents of food
- Engaging in ritualistic eating patterns, such as cutting food into tiny pieces, eating alone, and/or hiding food
- Continued fixation with food, recipes, or cooking; the individual may cook intricate meals for others but refrain from partaking
- Depression or lethargic stage
- Avoidance of social functions, family and friends. May become isolated and withdrawn
- Switching between periods of overeating and fasting
What are the health risks associated with these disorders?
- Stunted growth.
- Delayed menstruation.
- Damage to vital organs such as the heart and brain.
- Nutritional deficiencies, including starvation.
- Cardiac arrest.
- Emotional problems such as depression and anxiety.
What is Obesity?
Obesity means being overweight by the accumulation of excess fat within the body. Obesity is defined to some extent by measuring Body Mass Index (BMI). People become obese by consumption of excess calories, imbalance between calories intake and calories outgoing, leading a sedentary life, lack of sleep , disturbances in lipid metabolism and intake of medications that put on obese.
What are the risks associated with obesity?
Obesity increases the risk for:
- High blood pressure
- Cardiovascular disease
- Gallbladder disease
- Respiratory problems
- Emotional problems such as depression and anxiety
How eating disorder and obesity are related?
Eating disorders and obesity are part of a range of weight-related problems.
- Body dissatisfaction and unhealthy dieting practices are linked to the development of eating disorders, obesity, and other problems.
- Binge eating is common among people with eating disorders and people who are obese.
- Depression, anxiety, and other mood disorders are associated with both eating disorders and obesity.
- The environment may contribute to both eating disorders and obesity.
Help adolescents develop healthy eating habits:
- Help children learn to control their own eating.
- Offer children a variety of healthy foods at meal and snack times.
- Eat dinner together as a family most days of the week.
- Be aware of your child's emotional health or else consult a psychologist
- Encourage children to participate in sports, dance, swimming and other physical activities.
- Counteract harmful media messages about body image.
The splendid approach:
The approach should be quite simple. A proper diet plan, nutritious foods and fruits with proper exercise can do a world of good to you. If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.